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Organization
MODERN MENTAL HEALTH
Active
Organization
MODERN MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE HAHN (EXECUTIVE DIRECTOR)
(918) 815-6567
Entity
Organization
Contact information
Practice address
609 S REDWOOD AVE, BROKEN ARROW, OK 74012-4516
(918) 836-0239
Mailing address
609 S REDWOOD AVE, BROKEN ARROW, OK 74012-4516
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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